1. health and fitness
2. disorders

EATING
DISORDERS
PROGRAM
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CONTENTS
INTRODUCING…Homewood Health Centre’s Eating Disorders Program!!
♦ Who we are and what we believe
♦ Our clients
♦ Preadmission Assessment Process
♦ Preparing for Admission
♦ Day I Admission Day
♦ Week 1: Assessment Phase
♦ Treatment Process
♦ Treatment Team Members
♦ Treatment Opportunities
♦ Important Things to Know – House Rules! 48 Hour Therapeutic Pass and Program “NonNegotiables”
♦ Additional Information and Tour Information
♦ Local Accommodations Directory
♦ Typical Day’s Meal Menu
♦ Typical Program Schedule (partial week) only
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WHO WE ARE AND WHAT WE BELIEVE
Homewood’s Eating Disorders Program is Canada’s largest inpatient treatment program
specializing in the treatment of Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not
Otherwise Specified (excluding Binge Eating Disorder), for women and men, 16 years of age
and older.
Homewood Health Centre is a fully accredited psychiatric hospital with over 100 years of
history of patient care. We are situated on fifty acres of scenic property along the Speed River
in Guelph, Ontario.
The Homewood Health Centre’s Eating Disorders Program views eating disorders as
constituting an extreme pole on the continuum of weight and size preoccupation prevalent in
today’s society. An eating disorder is manifested by symptoms that may include food
restriction or fasting, binge eating, purging, compulsive exercise and obsessive thinking. It can
be perceived as a means of coping with psychological/familial/social distress in one’s life. The
program has a voluntary, group-based, recovery-oriented approach, which encourages selfresponsibility and healthy coping right from the start of treatment. Patients are immediately
able to access a supportive community of peers and multidisciplinary staff who fully
understand the complexities of the illness and the healing process. Program participants are
provided with opportunities to practice their newly acquired coping skills by having outings in
the community (or at home, whenever practical), integrating their therapeutic experiences with
those of “real life.” While the program does not constitute a “cure” for eating disorders, it
provides a strong foundation upon which patients can build through outpatient follow-up
services in their own communities. Wherever possible, Homewood partners with outpatient
supports to ensure the best possible continuity of care.
OUR CLIENTS
The Homewood Eating Disorders Program offers treatment to those who meet the diagnostic
criteria for Anorexia Nervosa, Bulimia Nervosa and Eating Disorder, Not Otherwise Specified
(ED NOS) (not including Binge Eating Disorder). A general description of these disorders is as
follows:
ANOREXIA NERVOSA involves an intense pursuit of thinness, a fear of weight gain and an
extreme preoccupation with food at a time when a person is emaciated. There is an inability to
see one’s body size and shape accurately, which co-exists with body dissatisfaction. The
disorder appears to be a means of coping with uncomfortable emotions and difficult life
situations. It may serve a functional purpose in one’s life and thus is quite difficult to relinquish.
Often low self esteem and feelings of being out of control in one’s environment are present.
Body weight may be perceived as the only thing one can control. If your weight is very low
and/or you are medically unstable, you may not be eligible for admission. In such cases, this
decision will be made on a case-by-case basis.
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BULIMIA NERVOSA involves extreme preoccupation with food and weight issues, as well as
various weight control practices, (i.e., dieting, fasting, laxative usage, self-induced vomiting,
compulsive exercise, etc.). It also involves recurrent episodes of eating large amounts of food
in a short period of time (binges), feeling “out of control” while binge eating, and often feeling
shameful afterwards.
EATING DISORDERS NOT OTHERWISE SPECIFIED includes Eating Disorders that do not
meet the criteria for a specific Eating Disorder. At the present time, Homewood is not treating
Binge Eating Disorder.
PREADMISSION ASSESSMENT PROCESS
Prior to admission, you and your physician and possibly outpatient therapist, will be asked to
complete various preadmission forms outlining the history of your eating disorder, prior
treatment efforts, your present and past lifestyle and medical state. You will also be asked to
develop individualized treatment goals for your hospitalization. Once all the required
documentation is returned to the admissions office, the treatment team will assess your
paperwork. You will be notified of the assessment outcome. If you are accepted into the
program, there will be a waiting period for admission during which time you will remain under
the care of your own physician and outpatient clinician(s).
NOTE ON ALCOHOL/DRUG DEPENDENCY
If you have a history of chemical dependency, you may be asked to provide documentation of
abstinence for a minimal period of up to three months prior to hospitalization. Some combined
programming is offered through Homewood’s Alcohol and Drug Services Program (HADS).
A.A., N.A., C.A., AlAnon and Narc-Anon meetings are available in-house only.
NOTE ON SUICIDALITY
You will not be eligible for admission if you are actively suicidal or are so depressed that you
would not be able to participate fully in the program. Your referral will be reconsidered when
your depression and suicidality are adequately treated prior to entering the program.
NOTE ON SELF-HARM BEHAVIOUR
If you engage in self-harm behaviours, you will be asked to contract with the treatment team to
not engage in such behaviours while in hospital. We reserve the right to discharge patients
who continue to self-harm once admitted.
PREPARING FOR ADMISSION
Since Homewood is a “home away from home” for a period of several weeks, you are
encouraged to bring small items to hospital. In order to make your stay more comfortable,
former clients have suggested the following list of useful items to bring with you:
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radio/CD player, IPOD and music;
DVDs;
stationary and stamps;
personal journal book; a “Hope Book” (a keepsake journal for other patients to write
in for you);
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leisure activities, i.e., knitting, crafts, puzzles, etc.;
binder with dividers; lined paper; pen and pencil; reading material – (NB - no
fashion/glamour or exercise magazines);
laundry soap and change for machines;
alarm clock;
small fan (in warm weather),
extra clothes hangers; bathrobe and slippers;
toiletries including shampoo; safety razor and sanitary products; **unscented products
only please!
caddy or tote to transport toiletries to washroom.
photos to decorate your room;
thumbtacks for corkboard use;
bank card;
personal coffee mug (important to bring).
Casual attire including gym clothes and running shoes are required for recreational activities
and groups. No hospital pants, crop-tops or logos re dieting, alcohol, drugs, etc. are permitted.
No cameras, recording devices, or televisions please. Linens are provided (sheets, towels,
blankets, etc) as is a full length mirror. Patients are expected to use bulletin boards provided
in their rooms and to refrain from decorating wall surfaces. Cell phones are permitted although
use is limited to non-program times. Telephone cards are available for purchase for
Homewood telephones. Laptops are permitted however they cannot be used for work
purposes (school or vocation) and excessive usage will be discouraged.
DAY 1 – ADMISSION DAY
Admissions take place in early morning (8:30-9:30 am). If you are travelling a considerable
distance, you may wish to seek overnight accommodation nearby. A list of local lodgings is
enclosed. Short-term metered parking is available on Delhi Street or in the parking lot across
from the hospital ($8.00 on exit). Wherever possible, we will attempt to contact you a few days
prior to admission.
On the morning of your admission day, you will report to the Admitting Department. You will
then be escorted to the Eating Disorders Program. When you arrive on the unit, you will
undergo admission procedures with nursing staff and the Psychiatrist, in addition to having a
unit tour. You may also visit the lab for blood work. Those accompanying you may only stay
with you until your intake meeting with staff. We believe it is important to involve your family
members in treatment as soon as possible for two reasons: first, so that they can better
understand your illness and receive support for themselves; and second, so they can help
ease your transition to home and provide support after discharge. For these reasons, we
encourage you to ask key family members (parents, partner or spouse, a sibling, etc.) to join
you for family therapy. For most patients, we will recommend weekly family therapy for the
duration of your admission. If you are coming from a great distance and your family is unable
to attend in person, we can make arrangements for a session by telephone.
Videoconferencing/skype is also available.
In addition to active participation in family therapy, we also recommend that family and friends
attend our monthly Family Information and Support Group, which is held one Friday per month.
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This group will help your family members learn more about eating disorders and the
Homewood program. In addition, it offers them a unique opportunity to talk to other patients
and family members about ways to cope with this illness and the process of recovery. We
hope you will invite any friends or family members who are willing to participate.
PHASE 1: ASSESSMENT PHASE
Everyone entering the program engages in an assessment period during which time members
of the treatment team will assess you. Following a mutual agreement that our program is
appropriate for your needs, a collaborative treatment plan will be developed. The assessment
period usually lasts up to two weeks. For patients of very low weight, there will be a period of
bed rest which precedes the Assessment Phase.
The program functions in a community milieu setting. Please accept other clients as part of
your support team and feel free to ask questions to help you get comfortable with your new
surroundings.
SUPPORT PEOPLE
Family or friend visits are limited to evenings 6:30-9:00 p.m. on weekdays and 9:00-12:00
noon, 1:30-4:45 p.m. and 6:30-9:00 p.m. on weekends. Visitors are not to visit during
mealtimes and post-meal supervision periods, or during supervised snack times. Please leave
only urgent messages at the nursing station (extension 2553). Individual patient mailboxes will
accept incoming calls. The unit telephone accepts Homewood calling cards, available for
purchase at Switchboard. Please avoid incoming calls during mealtimes and after 10:00 p.m.
As patients become familiar with their program schedules, they may advise family and friends
of the best times to call. Visitors are asked not to bring any food products, beverages, diet
products, medications or exercise equipment into the hospital.
OUTINGS AND PASSES HOME
The opportunities to leave the hospital are indicated on your Collaborative Treatment
Agreement that is provided at the end of the Assessment Phase. Depending on both your
physical status and ability to manage eating disorder symptoms, the opportunity to leave the
hospital is limited initially, sometimes for a number of weeks. Patients must remain on the unit
between 10:00 pm and 6:00 am daily.
Program outings are opportunities to practice recovery skills acquired in the program. Patients
are responsible for funding occasional community outings (restaurant meals or activity-related
events). Some in-hospital craft activities may also require funding (minimal). A bank machine
is available on the premises.
TREATMENT PROCESS
Eating Disorders can involve serious medical and psychological complications such as heart
arrhythmias, vomiting blood, osteoporosis, anaemia, memory and concentration impairment,
depression, and even death by heart failure or suicide. Researchers are only beginning to
understand how seriously eating disorders can affect every organ in the body, at times with
irreversible or fatal consequences. Specialized hospital programs, such as that which
Homewood offers, can be an important part in the overall treatment needs of the individual.
Starvation and chaotic eating have such a profound effect on the body and mind that nutritional
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rehabilitation is an important part of healing. Our program includes a strict reduction in your
activity level with a gradual increase in activity as progress occurs.
The foremost goal of the program is to help you regain control of your life so that full
functioning is restored. A multidisciplinary team will provide you with many opportunities to
develop a better balance in your lifestyle, to learn how to express feelings in a healthier
fashion, and to develop new thought patterns. Developing healthy trust in others and feeling
effective in your life will take longer than a short-term hospitalization. The inpatient program
commits itself to recognizing the vital importance of ongoing outpatient therapy and every
attempt will be made to secure outpatient resources in your home community. During
hospitalization, you will begin a journey of finding healthier ways of coping without resorting to
self-defeating food and weight manipulation.
If you suffer from Anorexia Nervosa, normal eating and weight gain will be an important part of
your treatment. This part of the program will be coordinated by the dietitian/nutritionist. A
“target weight range” will be recommended. Throughout your hospitalization, you will work
toward this goal weight range. A weekly expected weight gain is 1-1.5 kg. As many persons
with eating disorders have difficulty with excessive exercise, activity levels and healthy leisure,
the recreation therapist will help regulate and normalize these areas. Bed rest and/or the
inability to leave the unit may be applied in certain cases.
If you suffer from Bulimia Nervosa, you may still need to gain weight to reach your body’s “set
point” weight range. This is the weight range at which your body is most comfortable (natural
weight), but the main emphasis will be on interrupting your eating disorder symptoms and relearning normal eating patterns. Binge eating, purging and restricting are not permitted in the
program and will be initially controlled by supervision at mealtimes and the option of ongoing
washroom/shower supervision.
TREATMENT TEAM MEMBERS
Team members, from a variety of professional disciplines include:
Program Coordinator
The Program Coordinator facilitates program functioning, networks with the community and
also functions as a clinical social worker on the treatment team. The program coordinator is
involved in coordinating preadmission assessments, admissions and discharges.
Psychiatrist
The psychiatrist is consultant to the team and is a therapist in treatment groups. Individualized
psychotherapy is not provided by the psychiatrist. If medication is needed at any time during
your hospitalization, this will be discussed with you and your psychiatrist. Medications that can
be used in the treatment of eating disorders include anxiety-reducing medication prior to
meals, antidepressant medication and medications to decrease the sensation of being overly
full. There are no medications that actually cure eating disorders but they can serve as a
useful adjunct to the main medication: food itself.
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Nursing Staff
You will be assigned to a Prime Nurse who will meet with you on a regular basis throughout
your hospital stay and who will be responsible for coordinating your individual treatment plan.
S/he will establish a therapeutic relationship with you, plan your care while in hospital, and
assist you in goal development and continuously monitor/review your progress in conjunction
with the rest of the treatment team. With your permission, your prime nurse may keep in
contact with referral sources. When your Prime Nurse is on night shift or on vacation, an
alternative nurse will be provided.
Dietitian and Diet Technician
After a nutritional assessment, the dietitian will discuss with you your nutritional needs to
establish healthy eating. Most patients begin with 6500 kilojoules (1500 calories) per day. For
patients with anorexia nervosa, energy intake is gradually increased until a weight gain of
approximately 1.5-kg (3 lbs.) per week is attained. A weight goal range is set, based on your
weight history and/or weight standards. For bulimic clients, emphasis is on re-learning normal
eating habits and not on weight change (unless underweight). Nutrition education is provided
throughout your hospital stay, both individually and in a nutrition group. The Homewood
Health Centre’s Nutrition Services Department provides all foods. Patients will choose from a
variety of foods from a selection of meat, fish, poultry and alternatives, fruits, vegetables, milk
and milk products, grains, fats and desserts. Please refer to typical meal menu (attached).
Completion of all food on the meal plan is required throughout the program. The Eating
Disorders Program supports a “symptom-free” environment. We are unable to accommodate
a vegan diet. Dietary restrictions (e.g., gluten-free diet) requires confirmation by a
specialist/physician prior to admission.
Psychologist
The psychologist assists you and the treatment team with psychological assessments and
psychotherapeutic treatment. Although you have acknowledged problems with eating, the
psychologist assesses for additional problems that may complicate your recovery.
Psychological assessment and treatment serves to generate awareness of psychological
issues and offers strategies for problem resolution.
Social Worker/Family Therapists
The social worker/family therapists are available to provide consultation, education and/or
family therapy as requested by the patient. Family involvement is strongly encouraged in order
that the family members can support the recovery process in a healthy way. A family
information/support session occurs monthly and is initially attended by patients and family
members. Family members then meet together for the bulk of the day. There is a $15.00 per
person charge to cover the cost of meals, handouts, etc. Attendees should be 16 years of age
and older. Family concerns about treatment and/or progress in the hospital can be directed to
the Prime Nurse or the Program Coordinator. Patients must provide permission to release
information about their care.
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Recreation Therapist
The recreation therapist will assist you in developing a healthier leisure lifestyle by increasing
your awareness of leisure and its importance to recovery, health and the quality of one’s life.
A recreation therapy assessment is conducted to determine leisure functioning, needs,
interests, patterns and exercise involvement. The emphasis is on acquiring leisure concepts
and skills that promote balance, structure and wellness. Patients are educated and experience
exercise in moderation, incorporating it into part of a balanced lifestyle contributing to physical
and psychological wellbeing. A healthy exercise program is developed and gradually
reintroduced, helping you to experience and enjoy exercise without excess and preoccupation
with weight control. During the early stages of treatment, activity is very limited. Leisure and
exercise education is provided throughout your hospitalization stay, both individually and in
leisure education. This staff person is involved in programs focusing on body image and selfacceptance. Community re-integration, through a variety of community outings is coordinated
by the recreation therapist.
Horticultural Therapist
The Horticultural Therapist utilizes plants and horticulture-related mediums to enhance or
rehabilitate one’s physical, emotional and spiritual wellbeing. The greenhouse and garden
offer a relaxing and non-threatening environment. Horticulture Therapy provides an
opportunity to develop positive leisure and coping skills to aid in the recovery process;
improves quality of time and alters negative lifestyles; engages you in intellectual and social
stimulation through a new learning experience with plants and heightens self esteem and
sense of self worth through creative skills. A wide variety of horticultural activities are offered
in order to stimulate interest and encourage ongoing treatment.
Occupational Therapist
An occupational therapist is available on a referral basis to meet with an individual regarding
concerns with the process of returning to work and/or issues negotiating a return to work plan
(with workplace, insurance company or WSIB).
Volunteers
Trained volunteers assist the program with the supervision of daily meals.
Students
Clinical program staff supervises students from a variety of disciplines. They may carry a
patient caseload and participate in and observe a variety of treatment opportunities during their
academic placement.
TREATMENT OPPORTUNITIES
For the most part, therapy is provided through various group treatments. Treatment modalities
include Cognitive Behaviour Therapy (CB) and Dialectical Behaviour Therapy (DBT). The
family therapist/social workers provide family therapy. Please refer to the sample program
schedule (attached) for types of program opportunities available.
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IMPORTANT THINGS TO KNOW…HOUSE RULES!
ON SMOKING
Homewood is a smoke-free facility. It is the policy of the Homewood Health Centre that in
order to promote a safe and healthy environment, that there be no smoking allowed anywhere
inside any building that is part of the Homewood Health Centre complex, or any place that
could be considered the Homewood Health Centre workplace, or on the Homewood Grounds.
A designated smoking patio is the only permissible location for smokers. Contravention of this
policy by patients will be dealt with therapeutically by the treatment team. This includes a
range of options that may include discharge. Nicotine Replacement Therapy (gum and
patches) and a psychoeducational group and a support group are available to patients. There
are no opportunities to smoke during Bed Rest, Assessment and Preparation Phases
(minimum of three weeks).
ON SCENTED PRODUCTS
Please do not bring any scented products into hospital out of respect for those with allergies.
ON CONFIDENTIALITY
For reasons of privacy and confidentiality, no recording devices, cameras or taping equipment
are allowed on the premises. You will be expected to maintain confidentiality of co-patients by
not discussing others with family and friends.
ON ENVIRONMENTAL RESPECT
Patients are expected to maintain a clear and tidy environment. Building surfaces must not be
defaced, e.g., tape on walls, nail holes, etc. Patients will be charged for damages to hospital
property including repairing walls, repairing furniture, etc. For sanitary purposes, please do not
bring in personal linens as these are provided. This includes comforters, sheets, and pillows.
ON ALCOHOL AND DRUG USAGE
Using alcohol or non-prescribed substances while in the program (outings and passes
included) will not be permitted and may result in discharge. If you have a prior history of
chemical dependency, you will be asked to sign a non-usage contract. Other supports such as
in-house 12-step meetings and concurrent involvement in the Alcohol and Drug Program can
be made available.
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Rationale for 48 Hour Therapeutic Pass
Eating disorders are extremely complicated illnesses to overcome. In our experience, even
patients who truly desire recovery, face periods of ambivalence, especially:
•
if they have been "strongly encouraged" by others to seek treatment, and feel unsure about
whether they are ready for an intensive inpatient program;
•
after they pass through the "honeymoon" phase of eating regularly and realize they are
going to have to continue eating, without any form of restricting or purging, every single
day;
•
as they start to experience changes in body size;
•
after they have been in treatment for some time, and are beginning to deal with the
uncomfortable feelings and experiences that led them to their eating disorders in the first
place.
These feelings and experiences are likely to re-trigger urges but, unlike those with addictions,
people with eating disorders can't avoid their "substance" and in fact, must face their urges
head on at least four times every day! Not surprisingly then, a number of our patients begin to
doubt whether or not they can and/or want to truly let go of their eating disorder. They can
become pessimistic and self-critical, and they can begin giving in to their eating disordered
urges even in the safe, symptom-free environment of the hospital. When this happens, other
patients can become triggered (i.e., "if she/he's restricting/purging maybe I should too") and
they can begin to isolate or exclude the patient or, alternatively, become overly responsible
and caretaking - both of which detracts from the recovery of both patients. Of course, staff talk
directly with the patient about treatment ambivalence and encourage her/him to practice
healthier coping strategies, offer extra support, and remind the patient of his/her earlier
motivation towards recovery. Sometimes these interventions are enough to help the patient
re-engage in treatment, but sometimes not. At this point in many programs, the patient who
can not or will not make changes would be discharged as not "treatment ready."
However, we offer an alternative. Either the patient or staff can initiate a 48-Hour Therapeutic
Pass, which offers ambivalent or symptomatic patients an opportunity to take a break from the
intensity of the inpatient unit. Patients can return home, to a friend, or to a hotel, where they
can rethink their commitment to recovery through the program. Patients are given clear
feedback from staff about specific concerns (like the ones mentioned above) and are
encouraged to think about changes which would help them benefit the most from the
remainder of their hospital stay. During this pass, patients are permitted to contact nursing
staff for support as needed, and upon return, patients meet with staff to explore the impact of
this break. (Please give advance consideration as to where you would stay, financing the
same, etc., should you take this therapeutic leave.)
Admittedly, many of our patients who are given a 48-hour pass view it negatively at first. Their
perfectionistic tendencies are triggered and they can express distress at "failing" or "messing
up." They can also feel angry initially towards staff for "punishing" them when they feel unsure
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about recovery. However, many of these same patients tell us after the pass they found it
extremely useful in recommitting to recovery. These patients say they were able to think
clearly, consider the alternatives (i.e., what if I stay sick? can I really get better if I don't give up
the symptoms, gain the weight, etc.?) and focus on goals for the remainder of treatment.
More often than not, patients who take a 48-hour therapeutic pass go on to complete their
admission, rather than taking an early discharge. Additionally, they often experience a
resurgence of support from their peers for taking responsibility for their recovery and making
positive changes. In fact, when another patient is given a 48-hour pass, these same patients
often say, "I thought it was negative too, but it turned out to be the best thing for me!"
In our experience, this option has proved far more successful than either tolerating the
ambivalence (which can keep the patient stuck and waste weeks of their treatment) or
prematurely discharging the patient (since many go on to use the remainder of their
hospitalization well). It also sends the message to our patients that it is okay to admit all their
thoughts and feelings (even pro-eating disorder ones); that mistakes are okay and don't mean
failure; and that even patients who struggle can make changes and continue recovery. We
think these messages are vitally important to our patients' well being and think this highly
effective intervention helps patients in their battle to overcome eating disorders. Patients are
responsible for funding their 48 hour pass (accommodations, meals, transportation, etc).
Program Non-Negotiables
• full meal completion
• activity level as presented by program
• no self-harm behaviour
• no violent or abusive behaviour
• no smoking in hospital or on the grounds – designated smoking
area only
• no alcohol or drug use
• no intimate in-house relationships
ADDITIONAL INFORMATION
Direct referral to the Homewood Eating Disorders Program may be made by a medical doctor
or therapist contacting the Admitting Department at 519-824-1010 extension 2551 or through
e-mail at admit@homewood.org. General enquiries about the program may be directed to
April Gates, MSW, Program Coordinator at extension 2292. Combined hospital and unit tours
may be arranged by calling extension 2415. Tour requests of the Eating Disorders Unit can
only may through April Gates.
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GUELPH ACCOMMODATIONS LIST
Comfort Inn 519-763-1900
480 Silvercreek Pkwy. North
ac
Care Rate offered for Homewood visitors
Guelph Holiday Inn
519-836-0231
601 Scottsdale Drive
dr,ac,ip,s,mg,wp
Homewood visitor rate offered
Travel Lodge
519-836-1331
106 Carden Street dr,ac,hkg
Corporate rate offered
Days Inn
519-822-9112
785 Gordon Street dr,ac,p,wp
Corporate rate offered
Delta
519-780-3700
50 Stone Road
dr,ac,p,hkg
Corporate rate offered
Super 8
836-5850
281 Woodlawn Road East
Guelph, Ont.
Hampton Suites 519-821-2144
725 Imperial Road North
Holiday Inn Express 1-877-660-8550
540 Silvercreek Parkway North
Best Western Royal Brock Hotel & Conference Centre
(519) 836-1240 |
716 Gordon Street, Guelph, Ontario N1G 1Y6
Red Car Limousine Service (to and from Toronto airport) 519-824-9344
BED & BREAKFASTS
(519) 824-6874
London House Bed & Breakfast - 80 London Rd. W., Guelph. Slate gables and Gothic windows rise
above mature maples at the corner of London Road and Park Avenue. This gracious Victorian home overlooks one
of Guelph's oldest parks making it an attractive setting for the discriminating traveller looking for a comfortable
retreat. After a restful night, enjoy your choice of English or Continental breakfast in our dining room. London
House is in the heart of Guelph, close to downtown, shopping, theatres, Macdonald Stewart Art Centre, the
University of Guelph and public transit and walking distance to Homewood.
(519)767-1095
Norfolk Guest House Bed & Breakfast - 102 Eramosa Rd., Guelph. Attractive and convenient location
just blocks from the Homewood. Homewood visitor rates offered upon registration (please indicate that you are a
Homewood visitor), rooms with private bath available.
(519)658-5313
Eagle Crest Bed & Breakfast - Eagle Lane, R.R. #22 Cambridge. Relax in the tranquil setting of a
lakefront home. The home has been designed to resemble a seaside Nantucket residence, furnished with many
local Canadiana antiques. Open all year round and situated minutes from the 401, 20-30 minutes to Guelph.
Deluxe rooms, each with a private bath. Call ahead for reservations. Non-smoking.
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SAMPLE MENU – EATING DISORDERS PROGRAM
Monday – Breakfast
Fruit
___ Raisins
___ Fruit Cup
___ Prune Juice
___ Prunces
___ Bottle Juice
Protein
___ Cheese
___ Boiled Egg
___ Cream Cheese
___ Peanut Butter
Grains
___ Corn Flakes
___ Bagel
___ Muffin
___ Bread
___ Oatmeal
___ All Bran
Milk
___ Yogurt
___ Chocolate Milk
___ 1% Milk
Beverages
___ Coffee
___ Herbal Tea
___ Decaf Coffee
___ Tea
Extras
___ Margarine
____Sugar
___ Butter
___ Creamer
___ Milkette
___ Salt
___ Pepper
___ Brown Sugar
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Monday-Lunch
Monday-Dinner
___Cream of Mushroom
___ Crackers
Select One Meal Option:
____ Baked Chicken served with parslied potatoes,
beets and a tossed salad
Select One Meal Option:
___ Macaroni and Cheese served with tossed
salad
___ Ham Sandwich served with a tossed salad
_____ Vegetable Chili served with a tossed salad and
whole wheat dinner roll
Beverages
___ 1% milk 250 ml
___ Choc. Milk 250 ml
___ Juice Bottle
___ Herbal Tea
___ Coffee
___ Decaf Coffee
___ Tea
Select One Dessert Option:
____Pear
____ Banana
____Orange
____ Apple
____ Fruit Yogurt
____ TCBY
____ Jello
Beverages
____ 1% Milk 250 ml
____ Choc. Milk 250 ml
____ Juice Bottle
____ Herbal Tea
____ Coffee
____ Decaf. Coffee
____ Herbal Tea
Extras
___ Margarine
___ Butter
___ Creamer
___ Milkette
___ Salt
___ Pepper
___ Sugar
___ Cream Cheese
Extras
____ Margarine
____ Butter
____ Creamer
____ Milkette
____ Salt
____ Pepper
____ Sugar
____ Cream Cheese
Select One Dessert Option:
___ Grapes____Orange
___ Banana
___ Fruit Yogurt
___ Jelly Roll
___ Ice Cream
EATING DISORDERS TYPICAL SCHEDULE – 3 day sample only (not actual program schedule)
MONDAY
TUESDAY
WEDNESDAY
M 7:00-7:30 Weigh In
O
7:30 Breakfast
7:30 Breakfast
7:30 Breakfast
R
9:00-10:00 Dialectical Behaviour
Therapy (DBT)
8:45-9:30 Menu Planning
9:00-10:00 Community Outing
9:30-10:15 Community Meeting
10:15-10:30 Snack
10:15 Snack
10:30-11:30 Body Esteem Group
N
10:15-10:30 Snack
I
10:45-11:30 Nutrition Group
N
10:30-11:30 Finding Meaning
G
11:45 Lunch (Main Dining
Room)
12:00 (Lunch (E.D.Dining Room)
11:45 Lunch (Main Dining Room)
12:00 (Lunch (E.D.Dining Room
11:45 Lunch (Main Dining Room)
12:00 Lunch (E.D.Dining Room)
1:15-2:15
Self-Expression Art Therapy
12:30-1:00 Post Meal Support Group
1:00-2:15 Interpersonal Effectiveness
Training
1:10-2:10 Horticulture Therapy
2:15-2:30 Snack
2:15-2:30 Snack
2:15-2:30 Snack
2:30-3:45 Leisure Education
2:30-4:00 Interpersonal Process Group
3:00-4:15
Mindfulness
5:00 Dinner
5:00 Dinner
5:00 Dinner
8:30-8:45 Evening Snack
8:30-8:45 Evening Snack
8:30-8:45
Evening Snack
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